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Application of combined rigid choledochoscope and accurate positioning method in the adjuvant treatment of bile duct stones

机译:刚性胆道镜联合精确定位方法在胆管结石辅助治疗中的应用

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摘要

To explore the clinical effect of percutaneous transhepatic cholangioscopic lithotomy (PTCSL) combined with rigid choledochoscope and accurate positioning in the treatment of calculus of bile duct. This study retrospectively reviewed 162 patients with hepatolithiasis at the First Affiliated Hospital of Guangzhou Medical University between 2001 and 2013 were assigned to hard lens group or traditional PTCSL group. Compared with the traditional PTCSL, PTCSL with rigid choledochoscope can shorten the interval time which limit the PTCSL application. The operation time (45 vs 78, P=0.003), the number of operation (1.62 vs 1.97, P=0.031), and blood loss (37.8 vs 55.1, P=0.022) were better in hard lens group while the stone residual and complication had no significant differences. Rigid choledochoscope is a safe, minimally invasive and effective method in the treatment of bile duct stones. Accurate positioning method can effectively shorten operation process time.
机译:探讨经皮肝穿刺胆管镜碎石术(PTCSL)结合刚性胆道镜的临床效果并准确定位治疗胆管结石。本研究回顾性分析了2001年至2013年在广州医科大学附属第一医院收治的162例肝结石患者,分为硬性晶状体组或传统PTCSL组。与传统的PTCSL相比,带刚性胆道镜的PTCSL可以缩短间隔时间,从而限制了PTCSL的应用。硬性晶状体组手术时间(45 vs 78,P = 0.003),手术次数(1.62 vs 1.97,P = 0.031)和失血(37.8 vs 55.1,P = 0.022)更好,而结石残留和结石则更好。并发症无明显差异。刚性胆道镜是治疗胆管结石的一种安全,微创和有效的方法。精确的定位方法可以有效缩短操作过程时间。

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